Evidence map›Paper›PMID 35453936›Full record

ArticleDiagnostics (Basel, Switzerland)2022

Application of a Deep Learning System in Pterygium Grading and Further Prediction of Recurrence with Slit Lamp Photographs.

Kuo-Hsuan Hung, Chihung Lin, Jinsheng Roan, Chang-Fu Kuo, Ching-Hsi Hsiao, Hsin-Yuan Tan, Hung-Chi Chen, David Hui-Kang Ma, Lung-Kun Yeh, Oscar Kuang-Sheng Lee

Abstract read
In one paragraph

Article in Diagnostics (Basel, Switzerland), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed.

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  11. Artificial intelligence-assisted diagnosis of ocular surface diseases.Frontiers in cell and developmental biology · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Kuo-Hsuan HungDepartment of Ophthalmology, Chang-Gung Memorial Hospital, Linkou, No. 5, Fu-Hsing St., Kuei Shan Hsiang, Taoyuan 83301, Taiwan.ORCID 0000-0002-6298-5269
Chihung LinCenter for Artificial Intelligence in Medicine, Chang-Gung Memorial Hospital, Taoyuan 83301, Taiwan.ORCID 0000-0003-1079-7327
Jinsheng RoanDepartment of Information Management, National Chung Cheng University, Chiayi 62102, Taiwan.
Chang-Fu KuoCollege of Medicine, Chang-Gung University, No. 259 Wen-Hwa 1st Road, Kuei Shan Hsiang, Taoyuan 33302, Taiwan.ORCID 0000-0002-9770-5730
Ching-Hsi HsiaoDepartment of Ophthalmology, Chang-Gung Memorial Hospital, Linkou, No. 5, Fu-Hsing St., Kuei Shan Hsiang, Taoyuan 83301, Taiwan.
Hsin-Yuan TanDepartment of Ophthalmology, Chang-Gung Memorial Hospital, Linkou, No. 5, Fu-Hsing St., Kuei Shan Hsiang, Taoyuan 83301, Taiwan.
Hung-Chi ChenDepartment of Ophthalmology, Chang-Gung Memorial Hospital, Linkou, No. 5, Fu-Hsing St., Kuei Shan Hsiang, Taoyuan 83301, Taiwan.ORCID 0000-0002-1117-7878
David Hui-Kang MaDepartment of Ophthalmology, Chang-Gung Memorial Hospital, Linkou, No. 5, Fu-Hsing St., Kuei Shan Hsiang, Taoyuan 83301, Taiwan.
Lung-Kun YehDepartment of Ophthalmology, Chang-Gung Memorial Hospital, Linkou, No. 5, Fu-Hsing St., Kuei Shan Hsiang, Taoyuan 83301, Taiwan.
Oscar Kuang-Sheng LeeInstitute of Clinical Medicine, National Yang Ming Chiao Tung University, No. 201, Sec.2, Shih-Pai Rd. Peitou, Taipei 11221, Taiwan.

Funding

Linkou Chang Gung Memorial Hospital CMRPG3M0501
6 · The paper itself

Abstract

backgroundThe aim of this study was to evaluate the efficacy of a deep learning system in pterygium grading and recurrence prediction.

methodsThis was a single center, retrospective study. Slit-lamp photographs, from patients with or without pterygium, were collected to develop an algorithm. Demographic data, including age, gender, laterality, grading, and pterygium area, recurrence, and surgical methods were recorded. Complex ocular surface diseases and pseudopterygium were excluded. Performance of the algorithm was evaluated by sensitivity, specificity, F1 score, accuracy, and area under the receiver operating characteristic curve. Confusion matrices and heatmaps were created to help explain the results.

resultsA total of 237 eyes were enrolled, of which 176 eyes had pterygium and 61 were non-pterygium eyes. The training set and testing set were comprised of 189 and 48 photographs, respectively. In pterygium grading, sensitivity, specificity, F1 score, and accuracy were 80% to 91.67%, 91.67% to 100%, 81.82% to 94.34%, and 86.67% to 91.67%, respectively. In the prediction model, our results showed sensitivity, specificity, positive predictive value, and negative predictive values were 66.67%, 81.82%, 33.33%, and 94.74%, respectively.

conclusionsDeep learning systems can be useful in pterygium grading based on slit lamp photographs. When clinical parameters involved in the prediction of pterygium recurrence were included, the algorithm showed higher specificity and negative predictive value in prediction.

Indexed as

automatic pterygium gradingdeep learning systemprediction of pterygium recurrenceslit-lamp photograph

Identifiers

PMID35453936
PMCPMC9029774

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.